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1699944769
CAROL JEAN WIRTH
CAMPBELL, CA
NPI
1699944769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 45542)
Enumeration Date
2008-02-22
Last Update Date
2008-02-22
Business Address
-- CAROL JEAN WIRTH MFTI
608 HARRISON AVE
CAMPBELL, CA 95008-0114
Phone number: 408-871-1269
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Mailing Address
-- CAROL JEAN WIRTH MFTI
608 HARRISON AVE
CAMPBELL, CA 95008-0114
Phone number: 408-871-1269
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